Statement Of Prior Federal Service-Worksheet
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Statement Of Prior Federal Service-Worksheet Form. This is a Official Federal Forms form and can be use in Standard US Office Of Personnel Management.
Tags: Statement Of Prior Federal Service-Worksheet, SF 144A, Official Federal Forms US Office Of Personnel Management, Standard
Office of Personnel Management
STATEMENT OF PRIOR SERVICE - WORKSHEET
Name (Last, First, Middle Initial)
Social Security Number
Date of Birth (Month, Day, Year)
ADDITIONAL INSTRUCTIONS: Enter the appointment and separation dates in columns (A) and (B) below, using the numerical equivalent of the month.
See Chapter 6 of The Guide to Processing Personnel Actions for instructions on computing service computation dates (SCDs).
PART I - CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES
CREDITABLE SERVICENAME OF AGENCY/ORGANIZATION
(List only periods that are creditable
for leave purposes)
(A)
APPOINTMENT DATE
Year
Month
Day
(B)
SEPARATION DATE
Year
Month
Day
NONCREDITABLE SERVICE
(Explain noncreditable time listed in
Column (A), such as "lost time" during
military service)
Entrance on Duty Date
Total noncreditable service
Total of appointment dates
(A)
Total of separation dates
(B)
SCD - Leave
(A) - (B)
PARIT II - CREDITIBLE SERVICE AND SERVICE COMPUTATION FOR REDUCTION-IN-FORCE (RIF) PURPOSES
Complete only in cases where the amount of service that is creidtable for RIF purposes differs from the amount creditable for leave purposes.
CREDITABLE SERVICENAME OF AGENCY/ORGANIZATION
(A)
APPOINTMENT DATE
Year
Month
Day
(B)
SEPARATION DATE
Year
Month
Day
NONCREDITABLE SERVICE
(Explain noncreditable time listed in
Column (A), such as "lost time" during
military service)
SCD - Leave (from Part I)
Additional service creditable for RIF only
Total noncreditable service
Total of appointment dates
(A)
Total of separation dates
(B)
SCD - RIF (Service Date)
(A) - (B)
REMARKS
Name of Person Computing SCD(s)
The Guide to Processing Personnel Actions
Date SCD(s) Computed
Standard Form 144A
Rev. July 2008
Previous editions not usable.
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